Mechanism-to-Medical Center

A Version 0.2 pilot intake card and disposition algorithm I drafted for motorsport medicine. It records crash mechanics, occupant protection, and acute neurologic observations for medical handoff.

Clinical boundary

Status and role

I designed and wrote the pilot documentation. It is not a validated diagnostic instrument or substitute for licensed clinical judgment. It has no sanctioning-body endorsement, adoption, or deployment.

Handoff architecture

Proposed intake and handoff workflow

01Mechanism
What happened to the vehicle and occupant?
02Protection context
What safety system and post-impact context are observable?
03Neurologic observations
What acute signs can the responder record without over-interpreting them?
04Escalation / disposition
What needs licensed clinical judgment or a higher level of care?
05Structured handoff
Which facts must remain attached to the person and event?

Text equivalent: record the crash mechanism first, add observable occupant-protection context, record acute neurologic observations, defer escalation and disposition to the responsible clinical workflow, and hand the structured record forward.

Decision separation

Responder, medical, and Race Control responsibilities

OBSERVATION

Responder record

Mechanism, occupant context, visible signs, stated symptoms, time, and source.

CLINICAL

Medical disposition

Assessment, treatment, transport, and return-to-activity decisions remain with qualified clinical personnel and applicable protocols.

OPERATIONS

Competition control

Course status, vehicle recovery, and event operations remain separate from clinical judgment.

Review record

Questions raised in expert feedback

FeedbackReceived

ValidationNo

EndorsementNo

AdoptionNo

DeploymentNo

March 2026 correspondence documented expert critique. The questions concerned terminology, responder roles, observation reliability, workflow location, and series rules. Reviewer identities remain private.

Terminology

Could “red flag” be confused with on-track flag language?

Workflow location

Which fields belong at the scene, during transport, or in later review?

Intended users

Which observations are appropriate for each responder role?

Reliability

Which observation-only fields require clearer definitions or training?

Authority

Where do clinical disposition, Race Control, and series rules remain separate?

Evidence and limits

Evidence

ArtifactSupported statementDoes not establish

Version 0.2 pilot cardA structured intake artifact exists.Reliability, clinical utility, or field use.

Pilot disposition algorithmAn escalation structure was drafted.A validated protocol or standard of care.

March 2026 correspondenceExternal critique was requested and received.Consensus, endorsement, adoption, or deployment.

Before operational use

Requirements before field use

The current scope is four-wheeled racing; motorcycle events would need a separate framework. Any operational version would require review against current venue procedures, sanctioning-body and series rules, EMS and hospital protocols, communications plans, credentialing, user training, privacy controls, and agency authority.